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Organization
BROOKSTONE COMPREHENSIVE BREAST CARE CENTER, LLC
Active
Organization
BROOKSTONE COMPREHENSIVE BREAST CARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD R. BLOOM M.D. (MEDICAL DIRECTOR)
(706) 507-7055
Entity
Organization
Contact information
Practice address
1000 CENTRE BROOK CT, COLUMBUS, GA 31904-4573
(706) 507-7055
(706) 507-7056
Mailing address
1000 CENTRE BROOK CT, COLUMBUS, GA 31904-4573
(706) 507-7055
(706) 507-7056
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
—
—
Other
Enumeration date
05/10/2013
Last updated
05/10/2013
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